首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
医学
It seems intuitive that going to a specialist physician will result in more thorough and up-to-date care for whatever ails you.
It seems intuitive that going to a specialist physician will result in more thorough and up-to-date care for whatever ails you.
admin
2013-11-14
82
问题
It seems intuitive that going to a specialist physician will result in more thorough and up-to-date care for whatever ails you. In fact many studies support this idea — but health-care researchers caution that they may not tell the whole story.
The first question is whose patients are sicker? Specialists tend to treat more complicated forms of disease but generalists — family physicians and general practitioners — are more likely to treat patients with several coexisting diseases.
A second question is what counts as the most valuable treatment? Specialists are more familiar with standards of care for the diseases they treat regularly, says Harlan M. Krumholz of Yale University. On the other hand, a generalist may do a better job of coordinating a patient’s care and keeping an eye on a person’s overall health, says Martin T. Domohoe of the Oregon Health Sciences University in Portland.
To further complicate comparisons many generalists will consult with specialists on complicated cases but medical records do not always show that, says Carolyn Clancy of the Agency for Health Care Policy and Research in Rockville, Md.
That said stroke patients treated by neurologists are more likely to survive than stroke patients treated by generalists. Among about 38,000 stroke sufferers nationwide, 16.1% of those treated by a neurologists died within 3 months compared with 25.3 percent of those treated by family physicians.
Several studies have shown that people with heart disease fare better when they are treated by cardiologists, says S. Nash of the Mount Sinai Medical Center in New York. But it’s hard to figure out exactly why.
"Physician specialty, in addition to being a measure of formal training in the field, is also a proxy for clinical experience." he says, "It’s very difficult to separate out the overlapping concepts. One, that practice makes perfect; two, the effect of the educational and time investments in a clinical problem the physician is simply interested in; and three, the issue of formal training."
Differences between specialist care and generalist care, however. Pale in comparison with the finding that both specialists and generalists often fail to put the latest knowledge into practice, contend both Donohoe and Clancy. A report by the US General Accounting Office documented that heart attack survivors who saw cardiologists regularly were more likely to take cholesterol-lowering drugs and beta blockers which reduce heart rate and blood pressure than those who received care from a generalist. Even so, these life-prolonging drugs were not prescribed to many patients who appeared to be eligible for them, implying that both generalists and specialists could do better.
"Maybe we are focusing too much energy on the differences between generalist and specialist care," says Donohoe. Perhaps, he adds, "We should focus more intently on improving the quality of communication between generalists and specialists and on developing and promoting practice guidelines that might have a much bigger effect on the overall health of Americans."
Both specialists and generalists, Donohoe and Clancy contend, could do a better job of______.
选项
A、taking advantage of the other
B、avoiding as much malpractice as possible
C、putting the latest knowledge into practice
D、educating the public to their consciousness of health
答案
C
解析
题干:Donohoe和Clancy都认为专科专家与全科医生在——方面做得更好。通过人名回到文章定位,可知两人阐述的内容在倒数第二段首句:他们是否都将最新知识用于实践。因此本题正确答案为C。
转载请注明原文地址:https://kaotiyun.com/show/QJU3777K
本试题收录于:
医学博士外语题库考研分类
0
医学博士外语
考研
相关试题推荐
Imagineadiseasespreadingacrosstheglobe,killingmostlymiddle-agedpeopleorleavingthemchronicallydisabled.Thenoned
Imagineadiseasespreadingacrosstheglobe,killingmostlymiddle-agedpeopleorleavingthemchronicallydisabled.Thenoned
Cultureshockmightbecalledanoccupationaldiseaseofpeoplewhohavebeensuddenlytransplantedabroad.Likemostailments,
Cultureshockmightbecalledanoccupationaldiseaseofpeoplewhohavebeensuddenlytransplantedabroad.Likemostailments,
Expertscautionthatnomatterwhichmethodpatientschoose,theymayneedtoweareyeglassesagainoneday—atleastforreadin
Confrontedwithpatientfacingdeath,physiciansmayfeelasenseofmedicalimpotenceandfailure.Yearsoftrainingandzealt
Confrontedwithpatientfacingdeath,physiciansmayfeelasenseofmedicalimpotenceandfailure.Yearsoftrainingandzealt
Twoequallybrilliantscientistsapplyforaprestigiousresearchfellowshipawardedbyatopscientificorganization.Oneiswh
A、Theresultsmightbereadytomorrowafternoon.B、Theresultsmightbereadytomorrowmorning.C、Theresultswillbereadythis
Appliedresearch,undertakentosolvespecificpracticalproblems,hasanimmediateattractivenessbecausetheresultscanbese
随机试题
轮胎锯齿状异常磨损的现象主要发生在纵向花纹轮胎上。()
下列需要RNA作引物的过程是()
有的人遇到困难便怀疑预定目标,放弃预定目标的追求,这说明他们缺乏的意志品质是()
监理单位有权根据变更程序向承包人发出变更指示,其中约定提出变更的情形不包括()。
凡符合税法规定,从获利年度起可以享受两年免税、三年减半征税的外商投资企业有( )。
下列项目免征契税的有()。(2006年考题改编)
对特级导游员等级的评定工作每3年进行一次。()
在语文课上,当胡老师讲到课文中“一千万万颗恒星”一处时,刘明同学问道:“老师,‘万万’是什么意思?”全班同学觉得这个问题太简单,哄堂大笑。刘明也不好意思地低下了头,懊悔自己不该问这么简单的问题。胡老师见状,问大家:“大家都知道万万等于亿,那么,这里为什么不
道德和法律的关系是()。
李某有一栋可以遥望湖景的别墅,当他得知有一栋大楼要新建,不能再遥望湖景时,就把别墅卖给想得到一套可以眺望湖景的房屋的人,李某的行为违背了民法的()。
最新回复
(
0
)